Individual provider Active NPI

Nicole Sievers, RD CDE

  • Registered Dietitian
  • Kapaa, HI
National Provider Identifier
1265471668
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
00928138 Issued in WA
Practice address
4567 Hauaala Rd
Kapaa, HI 96746-1810
Phone
(808) 634-9379
Fax
(808) 468-9976
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 00928138 WA Primary

Addresses

Primary practice location

4567 Hauaala Rd
Kapaa, HI 96746-1810

Mailing address

4567 Hauaala Rd
Kapaa, HI 96746-1810
Phone (808) 634-9379

Other practice location 1

4-1629 Kuhio Hwy
Kapaa, HI 96746-9674
Phone (808) 634-9379

Other practice location 2

3-3420 Kuhio Hwy
Food & Nutrition Services
Lihue, HI 96766-1042
Phone (808) 245-1166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191105001140 HI Practitioner - Registered Dietitian Or Nutrition Professional 3173855566 Reassigns benefits to 1 organization
Practice locations: Kapaa, HI

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4567 Hauaala Rd
Kapaa, HI 96746-1810
Phone (808) 645-4484

Merit-based Incentive Payment System (MIPS)

Final score
88.39 of 100Reported as group
Quality
79.9
Promoting interoperability
99
Improvement activities
40
Cost
82.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00928138WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai Medical Clinic CurrentSince Aug 10, 2019 Accepting new patients
Kauai Medical Clinic CurrentSince Aug 10, 2019 Accepting new patients

Locations

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

3-3420 Kuhio Hwy
Lihue, HI 96766
Phone (808) 245-1074

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1265471668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 HAUAALA RD",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461810",
            "telephone_number": "808-634-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4567 HAUAALA RD",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461810",
            "telephone_number": "808-634-9379",
            "fax_number": "808-468-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4-1629 Kuhio Hwy",
            "address_purpose": "LOCATION",
            "city": "Kapaa",
            "state": "HI",
            "postal_code": "967469674",
            "country_code": "US",
            "telephone_number": "808-634-9379",
            "fax_number": "808-468-9976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3-3420 Kuhio Hwy",
            "address_2": "Food & Nutrition Services",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "967661042",
            "country_code": "US",
            "telephone_number": "808-245-1166",
            "fax_number": "808-246-2947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEVERS",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "RD CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "00928138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapaa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.